Sexual Consent Form
This Agreement is made by and between the following parties:
Name of Proposing Party

First Name Last Name
Gender
Date of Birth

Month Day Year
Date
Date of last medical Check-up

Month Day Year
Date
Name of Consented Party

First Name Last Name
Gender
Date of Birth

Month Day Year
Date
Date of last medical Check-up

Month Day Year
Date

Sexual Acts

Proposing Party

Consented Party

Body Fondling

Body Licking

Torrid Kissing

Oral Sex (Proposing party giving to Consented Party)

Oral Sex (Consented Party giving to Proposing Party)

Anal Sex (Proposing Party doing to Consented Party)

Anal Sex ( Consented Party giving to Proposing Party)

Bondage and Discipline

Sadism

Masochism

Devices (e.g. Dildo)

Safe word
Effectivity From

Month Day Year
Date
Effective Until

Month Day Year
Date

The Parties hereby declare that this agreement is made by the free will of them without threat, harm, or intimidation.

The Parties understand and were made aware to each other that they are of legal age.

The Parties likewise agree that this agreement is deemed considered as private and not to be disclosed to third parties, except in cases where necessary disclosure shall be needed such as disputes civil or criminal.

The Parties declare that both are free from any sexually transmissible diseases. An infection contracted by one after the enggement consumating this agreement shall hold the other party liable for damages both civil and criminal.
Ratchet Clause

WHEREAS, the Proposing Party and the Consented Party are aware that at the time of sexual activities, either parties may desire to engage in activities heretofore not consented to, the parties agree as follows:

The sexual activities shall be limited to what is consented by the parties in this Agreement.

The Parties are aware that in the case for any reason any of the partner utters the word "{safeWord}", the partner will immediately stop.

Should the sexual activity of any kind other than what is specified in this agreement be made, in the non utterance of the safe word, it shall be deemed as an accident and retroactively consented.
Proposing Party

Clear
Date Signed

Month Day Year
Date
Consented Party

Clear
Date Signed

Month Day Year
Date
Should be Empty: